Tablets for gastritis and ulcers, how to sort through the extensive list?

September 22, 2020

Gastritis is an inflammation of the gastric mucosa, leading to disruption of its secretory function

Gastritis is an inflammation of the gastric mucosa, leading to disruption of its secretory function. During the inflammatory process, food entering the stomach is poorly digested, which leads to impaired absorption of nutrients.

Chronic gastritis affects about 60-85% of the world's population, including young people aged 18 to 35 years. Due to the modern rhythm of life, gastritis has begun to occur more often in children aged 5 to 13 years. Among all diseases of the gastrointestinal tract, gastritis is the most common; a common “marker” of gastritis is the appearance of pain in the stomach. American scientists Marshall and Warren received the Nobel Prize for their discovery of the infectious mechanism of gastritis, caused by the microorganism Helicobacter pylori. This microorganism has been identified in the mucous membranes of many patients suffering from chronic gastritis.

Top 8 effective medications for the treatment of gastritis.

May 28, 2021
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Content
  • Nolpaza
  • Omez
  • Nexium
  • Gastal
  • Rennie
  • Maalox
  • De-Nol
  • Vikair

With gastritis, the gastric mucosa becomes inflamed, and a person experiences symptoms such as nausea, pain, belching, heartburn, etc. Today, gastritis is a very common occurrence, and the disease has become noticeably “younger” and is found even in children. If gastritis is not treated, it becomes chronic and significantly worsens the quality of life.

But you need to understand that there is no universal treatment for gastritis. It can be with high or low acidity, with or without the presence of Helicobacter pylori, with or without concomitant diseases, and many more individual characteristics. Therefore, only a doctor should prescribe drugs for gastritis.

We have compiled a rating of the safest and most effective medications for gastritis, working in three areas: antisecretory agents, antacids and drugs for the treatment of Helicobacter pylori.

The first group of drugs for the treatment of gastritis are drugs that reduce the acidity of gastric juice and the secretory activity of the stomach.

Symptoms

Often gastritis is asymptomatic; symptoms indicating the disease may be aching or sharp burning pain in the pit of the stomach, which appears or intensifies during or after eating, heartburn, nausea, vomiting, flatulence, constant belching and heaviness in the abdomen, unreasonable weight loss , unpleasant taste in the mouth, heaviness, feeling of pressure in the chest.

The manifestation of the disease depends on the type of disease. For example, acute gastritis begins suddenly, often after food poisoning. Pain occurs in different areas of the stomach depending on the location of inflammation, and intensifies when taking foods that irritate the mucous membrane. The main symptoms of the acute phase of the disease: heartburn, vomiting, belching, frequent gas, bloating, headache, rapid heartbeat, dizziness, increased salivation or extreme thirst. Chronic gastritis is sluggish, symptoms in adults may vary, but this pathology is mainly characterized by belching with a characteristic odor, constant heartburn, a feeling of pain and heaviness, loss of appetite, diarrhea or constipation, coating on the tongue, and weight loss.

Depending on the form and type of gastritis, different treatments are prescribed, so it is important to see a doctor immediately.

Nolpaza

These tablets for gastritis not only reduce the amount of hydrochloric acid in the stomach and reduce acidity, but are also indicated in complex therapy (in combination with antibiotics) for Helicobacter pylori. The active substance of Nolpaza, pantoprazole, heals the gastric mucosa during gastritis and ulcers, eliminating unpleasant symptoms. It is recommended to take Nolpaza once or twice a day; the drug is contraindicated for children. We recommend that you study the list of side effects.

Nolpaza
KRKA (KRKA), Slovenia

- gastroesophageal reflux disease (GERD), incl.
erosive and ulcerative reflux esophagitis and symptoms associated with GERD (heartburn, acid regurgitation, pain when swallowing); - erosive and ulcerative lesions of the stomach and duodenum associated with taking NSAIDs; — peptic ulcer of the stomach and duodenum, treatment and prevention; — eradication of Helicobacter pylori in combination with two antibiotics; - Zollinger-Ellison syndrome and other pathological conditions associated with increased gastric secretion. from 81

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It should be noted that Helicobacter pylori is one of the most common human infections; residents of megacities are more likely to suffer.
According to Russian scientists, the prevalence of this infection in Moscow is 60.7 - 88%, in St. Petersburg - 63.6%, in the cities of Eastern Siberia - up to 90% (data from the TsNIIG GBUZ MKNTs DZM published in the journal "Treating Doctor" in 2021). The less processed and the simpler the product is prepared, the healthier it is for the stomach. Boiled or baked meat is healthier for the stomach than sausages and frankfurters.

Drink water 30-40 minutes before meals (a glass of warm water drunk before meals normalizes stomach acidity). At the same time, do not drink during meals or immediately after it, but at least after half an hour or an hour.

Chew your food thoroughly. If food enters the stomach in large pieces, this creates additional stress, causing discomfort and bloating.

In the evening, try to eat at least three hours before bedtime, and preferably four. Don't sleep after a big lunch.

Don't get used to enduring pain and discomfort. If you begin to “feel” your stomach, immediately consult a gastroenterologist.

Numerous studies show that the main problem in the development of gastritis of the stomach is damage to the mucous membranes by the bacterium Helicobacter pylori. And eliminating contamination with this bacterium is the gold standard of gastroenterology today. It is clear that no diet in the world can get rid of Helicobacter. This requires complex therapy.

Omez

This drug against gastritis perfectly reduces the production of stomach acid, thereby relieving discomfort. Omez became the first drug in its category, the effectiveness and safety of which were confirmed by research. The active substance of the drug is omeprazole. “Omez” forms a protective layer on the gastric mucosa and at the same time heals existing damage - the acute symptoms of gastritis disappear. "Omez" can be taken both for treatment and for preventive purposes (for example, when taking non-steroidal anti-inflammatory drugs) to protect the gastrointestinal tract.

Omez
Dr. Reddy's Laboratories, India

Adults - peptic ulcer of the stomach and duodenum (including prevention of relapses);
- gastroesophageal reflux disease (GERD); - hypersecretory conditions (Zollinger-Ellison syndrome, stress ulcers of the gastrointestinal tract, multiple endocrine adenomatosis, systemic mastocytosis); — eradication of Helicobacter pylori in infected patients with gastric and duodenal ulcers (as part of combination therapy); - prevention and treatment of damage to the mucous membrane of the stomach and duodenum caused by taking NSAIDs (NSAID gastropathy): dyspepsia, erosion of the mucous membrane, peptic ulcer; - prevention of Mendelssohn syndrome (aspiration pneumonitis). Children - treatment of gastroesophageal reflux disease in children over 2 years of age, weighing more than 20 kg; - treatment of duodenal ulcer caused by Helicobacter pylori in children over 4 years of age, weighing more than 20 kg. Safety and effectiveness of the drug for other indications in patients children over 60

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Complications of gastritis

If you do not take into account the doctor’s recommendations, inadequate treatment can cause serious consequences:

  • Peptic ulcer disease. Most often it appears in the erosive form of the disease.
  • Atrophic gastritis. Due to the low concentration of hydrochloric acid, the glands of the mucous membrane almost completely lose their ability to produce secretions and begin to be replaced by connective tissue. Refers to precancerous conditions.
  • Gastric bleeding due to ulcers or erosions. It is characterized by shortness of breath, pale skin, weakness, the presence of blood in the vomit and black liquid stool. Refers to conditions requiring emergency medical care.
  • Lack of vitamin B12 and folic acid. It occurs in the autoimmune form of the disease or in the advanced stage of atrophic gastritis, when the stomach glands stop producing the protein responsible for the absorption of vitamin B12.
  • Anemia. It develops as a result of acute or chronic blood loss, as well as due to poor absorption of vitamin B12 from food by the body.

Nexium

This is a modern remedy for the treatment of gastritis and reflux disease, which has almost no side effects. Nexium is a proton pump inhibitor that permanently reduces the amount of acid in the stomach. Nexium helps relieve inflammation and heal stomach ulcers, and the effect after treatment lasts a long time. This drug for gastritis is not cheap, but the price is quite justified, especially since it can also be prescribed to children.

Nexium
AstraZeneca, Sweden

Gastroesophageal reflux disease: treatment of erosive reflux esophagitis;
long-term maintenance treatment after healing of erosive reflux esophagitis to prevent relapse; symptomatic treatment of gastroesophageal reflux disease; Peptic ulcer of the stomach and duodenum As part of combination therapy: treatment of duodenal ulcer associated with Helicobacter pylori; prevention of relapses of peptic ulcers associated with Helicobacter pylori. Long-term acid suppression therapy in patients who have suffered bleeding from a peptic ulcer (after intravenous use of drugs that reduce the secretion of gastric glands to prevent relapse). Patients taking NSAIDs for a long time: healing of gastric ulcers associated with taking NSAIDs; prevention of gastric and duodenal ulcers associated with taking NSAIDs in patients at risk. Zollinger-Ellison syndrome or other conditions characterized by pathological hypersecretion of the gastric glands, including from 127

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The next group of drugs are antacids, which eliminate excess acid in the stomach.

Antibiotics and antibacterial drugs, pyrokinetics and antacids

Antibiotics are medications aimed at suppressing Helicobacter pylori.

Among the antibiotics chosen are broad-spectrum agents - clarithromycin, tetracycline, amoxicillin.

In case of infection by a resistant strain of Helicobacter, medications are selected individually after testing for sensitivity to antibiotics.

This group of drugs is aimed at suppressing Helicobacter. Trichopolum or metronidazole is traditionally used as an antibacterial drug.

If Helicobacter is not detected, and the ulcer is caused by other reasons, then antibiotics are not used for treatment. Pyrokinetics improve the movement of food through the gastrointestinal tract, relieve dyspepsia, heartburn, and a feeling of heaviness in the stomach. Traditionally, cerucal, metoclopramide, and motilium are prescribed. These drugs are not used to treat ulcers on their own.

Antacids are prescribed to relieve heartburn. The choice of these drugs is huge - Maalox, Gastral, Almagel. The course of taking antacids should not exceed 14 days. Additionally, patients are prescribed vitamin complexes, antispasmodics – no-spa, drotaverine, baralgin.

In case of a mild condition, treatment is carried out on an outpatient basis. In severe cases - bleeding, suspected perforation - only in a medical institution.

Gastal

"Gastal" are lozenges, so they are always convenient to have on hand and do not need to be washed down with water. It contains magnesium and aluminum, which instantly “quench” heartburn, and the positive effect lasts for about two hours after the tablet is dissolved. "Gastal" not only reduces acidity, but also helps the gastric mucosa to recover. The drug is prescribed in the complex treatment of gastritis and ulcers.

The course of treatment with Gastal is selected by the doctor; you can also use the drug as a one-time “first aid” to relieve the symptoms of heartburn. You can take no more than 8 Gastal tablets per day. It is important that side effects from taking this medication are very rare.

Gastal
TEVA, Ukraine

The combined drug Gastal contains aluminum hydroxide, magnesium carbonate and magnesium oxide.
The combination of active ingredients provides a high antacid (reducing stomach acidity) effect and reducing the possibility of constipation. from 100

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Read also: Top 5 best sorbents for poisoning Rating of the most effective and safe sorbents that help with poisoning and hangover syndrome.

Rennie

"Rennie" are heartburn tablets with different flavors (they are even available without sugar). Rennie contains calcium carbonate and magnesium hydroxycarbonate. In the stomach, this gastritis medicine neutralizes excess acid. At the same time, the drug increases the production of mucus, which protects the stomach and heals damage to the mucosa. "Rennie" begins to act very quickly - literally three to five minutes after administration. The big advantage of these tablets is that they can be taken by pregnant women (and heartburn is a common occurrence during this period).

Rennie
Bayer Bitterfeld GmbH, Germany

The drug is taken for diseases of the gastrointestinal tract associated with increased acidity of gastric juice
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Maalox

"Maalox" for gastritis is presented in the form of chewable tablets and suspensions. This drug neutralizes hydrochloric acid and increases the pH level in the stomach. The active ingredients of Maalox are magnesium hydroxide and hydrated aluminum oxide. Also, this medicine for gastritis envelops the stomach, works as an adsorbent, and protects the mucous membrane from acid. "Maalox" is prescribed for gastritis, reflux esophagitis and ulcers. Before taking these tablets for gastritis, we recommend that you carefully read the contraindications.

Maalox
Chinoin (Sanofi-Sintelabo), Hungary

- peptic ulcer of the stomach and duodenum in the acute phase;
- acute gastroduodenitis; — chronic gastroduodenitis with normal or increased secretory function in the acute phase; - hiatal hernia; - reflux esophagitis; - dyspeptic phenomena, such as discomfort or pain in the epigastrium, heartburn, sour belching after errors in the diet, excessive consumption of ethanol, coffee, nicotine, etc.; - dyspeptic phenomena, such as discomfort or pain in the epigastrium, heartburn, sour belching (and their prevention), resulting from the use of certain medications (including NSAIDs, corticosteroids). from 20

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The last group is bismuth preparations, which are prescribed for the treatment of Helicobacter pylori.

Causes of gastritis

The main causes of gastritis are:

  • poor nutrition;
  • hasty eating and poorly chewed food or dry food;
  • eating food that is too hot or too cold;
  • eating savory foods (mostly spicy and highly salted);
  • smoking;
  • alcohol consumption;
  • stress;
  • infection with the microbe Helicobacter pylori;
  • chewing gum on an empty stomach.

De-Nol

This medication contains 120 mg of bismuth per tablet. "De-Nol" destroys the bacterium Helicobacter pylori and protects the stomach from acid. De-Nol works best in combination with antibiotics. This drug must be prescribed by a doctor and is approved for children over 4 years of age. The cost of De-Nol is high, and while taking it you may experience constipation, and your stool may turn dark.

De-nol
Astellas Pharma Europe, Russia

De-Nol is an antiulcer drug containing the active substance – bismuth subcitrate.
De-Nol belongs to the group of astringent drugs, however, it has a multifaceted effect, influencing various parts of the pathogenesis of peptic ulcer disease. The main pharmacological effects of the drug include astringent, antimicrobial and gastrocytoprotective effects. from 301

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Bismuth preparations

De-Nol

Medicines based on bismuth have a coating effect on the inner lining of the stomach, protecting it from the action of gastric juice.

In addition, bismuth preparations suppress the growth and reproduction of Helicobacter. Doctors prescribe the following drugs:

  • Vikalin
  • De-nol
  • Bismuth nitrate

Ranitidine bismuth citrate is a complex preparation of bismuth with an H2-histamine receptor blocker. All these medications are taken 1–1.5 hours after meals. Bismuth preparations color feces black. This is not a contraindication for further treatment with bismuth.

Vikair

This medicine for gastritis contains not only bismuth from Helicobacter pylori, but also plant components (buckthorn bark, calamus rhizome extract), as well as magnesium carbonate and sodium bicarbonate. This composition of Vikair makes it both an antispasmodic, an antacid and a drug with an astringent and laxative effect. The medicine has low cost and excellent effectiveness, so it is popular in the treatment of gastritis. But it is worth remembering that Vikair is contraindicated during pregnancy and children.

Vikair

Folk remedies for exacerbation

To eliminate the painful symptom of acute gastritis, you can resort to traditional medicine.

Method No. 1

Ingredients:

  • ½ tbsp. milk;
  • 1 teaspoon of natural honey.

Actions:

The prepared ingredients need to be mixed and heated. Consume in small portions. To prevent relapses, it is recommended to drink the drink every day in the morning.

Method No. 2

Components:

  • ½ liter of boiling water;
  • a couple of large l. crushed dried currant leaves.

Actions:

Place the raw materials in a thermos, then pour boiling water. Leave for 3 hours to infuse. The finished infusion should be filtered. The resulting medicine must be divided into 2 doses during the day within 30 minutes. before meals.

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